Acquired hepatocerebral degeneration
Unwitnessed falls. History of cirrhosis and portal hypertension secondary to chronic alcohol excess. Portal vein thrombosis.
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- Symmetrical high T1 signal is seen within the globi pallidi, the ventral thalami, and the cerebral peduncles
- Age advanced cerebral atrophy
2 case question available
In this case, where there is supportive history of cirrhosis, acquired hepatocerebral degeneration is the most likely cause.
Manganese overload from other causes such as total parenteral nutrition could have the same appearance.